OBJECTIVE: The present study was performed to investigate the relationship between chronic obstructive pulmonary disease (COPD) and transcatheter aortic valve implantation (TAVI). BACKGROUND: Controversies regarding the relationship between COPD and TAVI have intensified. METHODS: A literature review of the PubMed online database was performed, and articles published between January 1, 2002 and March 20, 2015 were analyzed. Random-effect and fixed-effect models were used, depending on the between-study heterogeneity. RESULTS: A total of 28 studies, involving 51,530 patients, were identified in our review. The burden of COPD ranged from 12.5% to 43.4%, and COPD negatively impacted both short-term and long-term all-cause survival (30 days: odds ratio [OR], 1.43, 95% CI, 1.14-1.79; >2 years: hazard ratio [HR], 1.34, 95% CI, 1.12-1.61). COPD was also associated with increased short-term and mid-term cardiac-cause mortality (30 days: OR, 1.29, 95% CI, 1.02-1.64; 1 year: HR: 1.09, 1.02-1.17). Moreover, COPD (OR, 1.97, 95% CI, 1.29-3.0) predicted post-TAVI acute kidney disease. Importantly, chronic kidney disease (CKD) (HR, 1.2, 95% CI, 1.1-1.32) and the distance of the 6 minute walk test (6MWT) (HR, 1.16, 1.06-1.27) predicted TAVI futility in patients with COPD. CONCLUSION: COPD is common among patients undergoing TAVI, and COPD impacts both short- and long-term survival. COPD patients, who had a lower BMI, shorter distance of 6MWT and CKD, were at higher risk for TAVI futility.
OBJECTIVE: The present study was performed to investigate the relationship between chronic obstructive pulmonary disease (COPD) and transcatheter aortic valve implantation (TAVI). BACKGROUND: Controversies regarding the relationship between COPD and TAVI have intensified. METHODS: A literature review of the PubMed online database was performed, and articles published between January 1, 2002 and March 20, 2015 were analyzed. Random-effect and fixed-effect models were used, depending on the between-study heterogeneity. RESULTS: A total of 28 studies, involving 51,530 patients, were identified in our review. The burden of COPD ranged from 12.5% to 43.4%, and COPD negatively impacted both short-term and long-term all-cause survival (30 days: odds ratio [OR], 1.43, 95% CI, 1.14-1.79; >2 years: hazard ratio [HR], 1.34, 95% CI, 1.12-1.61). COPD was also associated with increased short-term and mid-term cardiac-cause mortality (30 days: OR, 1.29, 95% CI, 1.02-1.64; 1 year: HR: 1.09, 1.02-1.17). Moreover, COPD (OR, 1.97, 95% CI, 1.29-3.0) predicted post-TAVI acute kidney disease. Importantly, chronic kidney disease (CKD) (HR, 1.2, 95% CI, 1.1-1.32) and the distance of the 6 minute walk test (6MWT) (HR, 1.16, 1.06-1.27) predicted TAVI futility in patients with COPD. CONCLUSION:COPD is common among patients undergoing TAVI, and COPD impacts both short- and long-term survival. COPDpatients, who had a lower BMI, shorter distance of 6MWT and CKD, were at higher risk for TAVI futility.
Authors: Gerhard Schymik; Panagiotis Tzamalis; Valentin Herzberger; Jens Bergmann; Peter Bramlage; Alexander Würth; Lars Oliver Conzelmann; Armin Luik; Holger Schröfel Journal: Clin Res Cardiol Date: 2017-08-21 Impact factor: 5.460
Authors: Martijn Stefan van Mourik; Jeroen Vendrik; Mohammad Abdelghani; Floortje van Kesteren; Jose P S Henriques; Antoine H G Driessen; Joanna J Wykrzykowska; Robbert J de Winter; Jan J Piek; Jan G Tijssen; Karel T Koch; Jan Baan; M Marije Vis Journal: Open Heart Date: 2018-09-23
Authors: Hatim Seoudy; Moritz Lambers; Vincent Winkler; Linnea Dudlik; Sandra Freitag-Wolf; Johanne Frank; Christian Kuhn; Ashraf Yusuf Rangrez; Thomas Puehler; Georg Lutter; Peter Bramlage; Norbert Frey; Derk Frank Journal: Clin Res Cardiol Date: 2020-10-24 Impact factor: 5.460
Authors: Kush P Patel; Thomas A Treibel; Paul R Scully; Michael Fertleman; Samuel Searle; Daniel Davis; James C Moon; Michael J Mullen Journal: Interv Cardiol Date: 2022-01-18